Nasosinusal Endoscopic Surgery as Major Out-Patient Surgery

Eisenberg, Gustavo; Pérez, Cecilia A.; Hernando, Mónica; Taha, Muhammad; González, Ramón; Montojo, José; Echarri, Rosa; García, Victoria; Onrubia, Tomás; Plaza, Guillermo

doi:10.1016/s2173-5735(08)70191-1

Cited by 9 publications

(14 citation statements)

References 15 publications

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“…Three studies reported experience of day-case middle meatal antrostomy, taking all indications together [2,4,16], all confirming feasibility. There were, however, clear limitations:…”

Section: Guideline 12mentioning

confidence: 82%

“…A retrospective Spanish study of 145 patients showed that the statistically significant predictive factor for poor outcome in endoscopic daycase surgery was revision surgery: readmission rates were 3.5-fold higher for revision than for primary surgery (95% CI, 1.216-10.075; P = 0.024) [16]. A retrospective study from 2006 on the effects of day-case management in 432 septoplasties found 8.8% readmission within 24 hours of discharge, regardless of age, gender, history or the surgeon's experience.…”

Section: Relative Agreementmentioning

confidence: 99%

“…The septoplasty techniques in question, however, were not specified, nor were the type and duration of septal contention [16].…”

Section: Guideline 14mentioning

confidence: 99%

“…Several studies identified revision surgery as a factor for longer surgery time and higher rates of readmission [3,16].…”

Section: Guideline 15mentioning

confidence: 99%

See 3 more Smart Citations

French otorhinolaryngology society guidelines for day-case nasal surgery

Gabory

Serrano

Lecanu³

et al. 2015

European Annals of Otorhinolaryngology, Head and Neck Diseases

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“…Three studies reported experience of day-case middle meatal antrostomy, taking all indications together [2,4,16], all confirming feasibility. There were, however, clear limitations:…”

Section: Guideline 12mentioning

confidence: 82%

Section: Relative Agreementmentioning

confidence: 99%

See 2 more Smart Citations

French otorhinolaryngology society guidelines for day-case nasal surgery

Gabory

Serrano

Lecanu³

et al. 2015

European Annals of Otorhinolaryngology, Head and Neck Diseases

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show abstract

“…Il ressort d'une étude rétrospective espagnole incluant 145 patients que la variable statistiquement significative ayant un effet négatif sur la prise en charge ambulatoire pour la chirurgie endoscopique est la chirurgie de révision. Les réadmissions seraient 3,5 fois supérieures lors d'une reprise que lorsqu'il s'agit d'une première intervention (intervalle de confiance 95 %, 12,16-10,075 ; p = 0,024) [16]. Une étude rétrospective de 2006 sur les effets de la prise en charge ambulatoire de 432 septoplasties a montré un taux de réadmission 24 h après leur sortie de 8,8 %.…”

Section: Recommandationunclassified

Recommandations de la SFORL sur la chirurgie ambulatoire en rhinologie

Gabory

Serrano

Lecanu³

et al. 2015

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Outcomes of endoscopic ethmoidectomy performed on a day-case basis: a prospective bi-centric study

Oker

Dupuch

Herman

et al. 2016

Eur Arch Otorhinolaryngol

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Evaluation of endoscopic ethmoidectomy performed as a day-case in terms of security, quality, and satisfaction of the patient. This prospective observatory bi-centric study over 1 year included 74 patients undergoing an ethmoidectomy respecting the eligibility criteria of ambulatory care. We recorded patients' demographic data, operative details, satisfaction, postoperative course, and follow-up results. Nasal symptoms were evaluated by SNOT-22 on preoperative appointment and postoperatively at D30. No non-absorbable nasal packing was used, eventually in the case of preoperative-bleeding absorbable gelatine packing. The postoperative follow-up took place at D1 by phone call and at D10 and D30 to assess complications, Visual Analogue Scale, and state of ethmoidal corridors by endoscopic exam. Patients benefited of bilateral ethmoidectomy in 82.4 % cases associated with septoplasty in 42 %. The majority (95 %) was discharged on the same day. Only one patient had bleeding at D0 and was kept in standard hospitalization, such as three other patients for medical or organizational reasons not related to surgery. At D1, 23 % described postoperative light bleeding but needed no revisit and pain was estimated at 1.3 (VAS). No readmission was observed, and no major complication was noted. SNOT-22 decreased successfully by 56 %, statistically related to postoperative treatment of corticosteroids and in the case of Samter triad. 97 % of patients were satisfied of the ambulatory care. These results suggest that within an experienced and dedicated day-case medical and paramedical team, ethmoidectomy can be safely performed on a day-case basis with high quality of taking care and satisfaction of patients.

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Nasosinusal Endoscopic Surgery as Major Out-Patient Surgery

Cited by 9 publications

References 15 publications

French otorhinolaryngology society guidelines for day-case nasal surgery

French otorhinolaryngology society guidelines for day-case nasal surgery

Recommandations de la SFORL sur la chirurgie ambulatoire en rhinologie

Outcomes of endoscopic ethmoidectomy performed on a day-case basis: a prospective bi-centric study

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